Journal Feed Weekly Wrap-Up

2 months ago 11

Journal Feed covers SAH decision rules, LV dysfunction in sepsis, and delta troponin. The post Journal Feed Weekly Wrap-Up appeared first on emDocs.

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter.

Originally published at JournalFeed, a site that provides daily or weekly literature updates.

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#1: How Good are SAH Rules?

Spoon Feed —
Both the Ottawa and Emerald subarachnoid hemorrhage (SAH) rules are highly sensitive for excluding SAH but have low specificity and do not reduce CT utilization.

Source
Diagnostic Accuracy and Application of Subarachnoid Hemorrhage Decision Rules Among Patients With Non-Traumatic Acute Headache: A Systematic Review and Meta-Analysis. Acad Emerg Med. 2025 Jul 2. doi: 10.1111/acem.70087. Epub ahead of print. PMID: 40605232

#2: LV Dysfunction is Associated with Mortality in Sepsis

Spoon Feed —
In patients with sepsis, new LV dysfunction is associated with in-hospital and ICU mortality.

Source
Association Between Initial Left Ventricular Systolic Dysfunction and Clinical Outcome in Sepsis: A Multicenter Cohort Study. Crit Care Med. 2025 Jul 2. doi: 10.1097/CCM.0000000000006771. Epub ahead of print. PMID: 40601382

#3: Rising and Falling hs-Tn Means Badness

Spoon Feed —
Both rising and falling patterns in serial high-sensitivity cardiac troponin (hs-cTn) measurement were associated with significantly higher risk of 30-day MACE.

Source
Kinetic changes in high-sensitivity cardiac troponin for risk stratification of emergency department chest pain patients. Am J Emerg Med. 2025 Jul;93:176-181. doi: 10.1016/j.ajem.2025.04.010. Epub 2025 Apr 8. PMID: 40220709.